Unknown Individual – Adult Medicine Physician, NPI 1366497687
Adult Medicine Physician
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NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Evanston Hospital, 2650, Ridge Avenue, Evanston, Evanston Township, Cook County, Illinois, 60201, United States
EVANSTON HOSPITAL RM 1210
EVANSTON, IL 602011718
Phone: (847) 570-1206
Fax: (847) 570-1248
Type: Mailing
400, McHenry Road, Buffalo Grove, Lake County, Illinois, 60089, United States
BUFFALO GROVE, IL 600896740
Phone: (847) 520-9424
Fax: (847) 520-9479
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60201)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| E N D O C R I N O L O G Y | IL | |
| N E U R O L O G Y | IL | |
| Hospitalist, Internal Medicine | IL | |
| O P H T H A L M O L O G Y | IL | |
| - | IL | |
| E N D O C R I N O L O G Y | IL | |
| Cardiovascular Disease (Cardiology), Interventional Cardiology | IL | |
| Clinical Social Worker | IL | |
| Certified Nurse Midwife (Cnm) | IL |
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